BHSPL Employee Data Sheet CODE : _
DOJ :
Instructions:
1. All fields in the form should be filled by the candidate in his/her own handwriting Attach recent Photo
2. Submit two passport size and two postcard size photographs. Aadhar & Pancard.
3. Education / experience certificates to be attached along with.
4. Designation, Department, Function & Role be filled onlyafter
it is explained & may be left blank.
Employee Details
Name: Fathers
Name:
Mothers Name:
Designation: Department
Aadhar No. : Pancard No. :
Current Address:
Pin Code :
Telephone: Mobile:
Permanent Address:
Pin Code :
Telephone: Mobile:
Email Address:
Identification Mark:
Date of Birth:(encl. proof) Place of Birth: Gender:
Passport No: Place of Issue: Date of Expiry:
Driving License No: 2-Wheeler/4-Wheeler
Bank Account No:(encl. proof) Bank Name & Branch:
ESI No.(if available): EPF No. (if available):
Education Details
Instruction: Include School, Colleges, technical institutes, universities and special courses indicating the place where they are located.
Examination/ University/ Year of passing Percentage/
SNo Degree School/ College Board Grade Main Subjects
Work Experience Details
Instruction: In the space provided below, describe every position which you have held since you first began to work. Start with
the present position and work back to the earliest positions which you held. Attach separate sheet if necessary.
Last Last Salary Drawn
Tenure Company Name & Reason of leaving/
Phone no. Position & Nature of
From To Full Address Remarks.
held Duties
Family Details
S.No Relation Name Date Of Birth Address
1 Father
2 Mother
3 Spouse
4 Children 1
5 Children 2
General Information
Blood Group: (encl. proof) Any Known Allergies:
Emergency Contact (Name, Telephone & Address):
Referred to Company by/through:
Name Occupation Relation Contact Detail
Declaration: I hereby declare that the information submitted above is to the best of my knowledge
and nothing has been concealed there in. I shall have no objection in case the company or its
associate, client companies make enquiries about me from the persons named above.
Date: Signature: